| NPI | 1972087682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9235501) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1177891) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 321395) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA GAA-NP003620) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61647479) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2026-01-02 |